Individual
LAUREN MARIE VANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 GREENCASTLE RD, BURTONSVILLE, MD 20866-1715
(240) 970-5600
Mailing address
5330 DORSEY HALL DR, ELLICOTT CITY, MD 21042-7831
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
06273
MD
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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